At the end of a 12-hour shift, Debbie overhears that Sam, a client she has cared for previously, is being readmitted to the mental health facility
She says to the charge nurse, "I better stay around for a couple of hours; I am the only one Sam will talk to." This is a warning sign that the nurse is experiencing which of the following obstacles to establishing a therapeutic relationship?
A) False reassurance
B) Lack of self-awareness
C) Excessive probing
D) Partnership
Ans: B
Feedback:
Warning signs that the nurse is experiencing a lack of self-awareness includes believing that you are the only person who can help a client—that is, having "rescue fantasies."
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Which is a characteristic of the interdisciplinary approach to the rehabilitation team?
a. Each discipline makes its own goals for the patient. b. There are clear boundaries between the disciplines. c. There is a combination of expanded problem solving beyond the boundaries of the individual disciplines. d. Cross-trained people are used who have functional ability in two or more disciplines.
A nurse is providing care for a number of older clients on a restorative care unit of a hospital. Many of the clients have diagnoses or histories of hypertension,
and the nurse is responsible for administering a number of medications relevant to blood pressure control. Which of the following assessments would the nurse be most justified in eliminating during a busy morning on the unit? A) Checking the recent potassium levels of a client receiving an ACE inhibitor B) Measuring the heart rate of a client who takes a ?-adrenergic blocker C) Measuring the pulse of a client taking an ACE inhibitor D) Noting the sodium and potassium levels of a client who is receiving a diuretic
Which therapeutic intervention could the nurse generalist use to help a child gain insight into
feelings and learn new ways to cope with difficult situations? a. Bibliotherapy b. Family therapy c. Psychodrama d. Insight-oriented individual therapy
A nurse works to promote the passage of a public health law to protect the health of the commu-nity. Which of the following would the nurse most likely be promoting?
a. Requiring all persons to have health in-surance coverage b. Administering flu shots in the late fall and early winter c. Mandating immunizations for all children entering kindergarten d. Monitoring and licensing nuclear power plants